45D0954189 CLIA NUMBER - MARKET STREET PHARMACY # 502

Laboratory Demographics

  • CLIA Code: 45D0954189
  • Facility Name: MARKET STREET PHARMACY # 502
  • Facility Address: 3405 50TH STREET
    LUBBOCK, TX
    ZIP 79413
  • Facility Phone: 806 791-0972
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TOBY KITE
  • NPI Number: 1871584391
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0954189
LAB Type Pharmacy
Facility Name MARKET STREET PHARMACY # 502
Street 3405 50TH STREET
City LUBBOCK
State TX
ZIP 79413
Phone 806 791-0972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Pharmacy
Lab Director TOBY KITE

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This page was last updated on: 9/29/2025